【摘要】 目的 探讨采用改良腹直肌旁入路行切开复位锁定钢板内固定术治疗髋臼骨折的临床效果。方法 采用回顾性研究方法，纳入泉州市德化县医院2021年1月—2025年6月期间行切开复位锁定钢板内固定术治疗的60例髋臼骨折患者的临床资料，依据手术入路的不同分为对照组(30例，采用改良stoppa切口入路)和观察组(30例，采用改良腹直肌旁入路)。对比两组围手术期指标、髋关节功能、炎症指标。结果 与对照组相比，观察组术中出血量少，切口长度、显露骨折端时间、住院时间、手术时间短，术后血红蛋白高，差异有统计学意义(P<0.05)；两组术后3 d各项炎症指标水平均高于术前，而观察组各指标水平较对照组低，差异有统计学意义(P<0.05)；两组术后3个月的髋关节功能评分差异无统计学意义(P>0.05)。结论 两种入路切开复位锁定钢板内固定术均能有效改善髋臼骨折患者髋关节功能，其中改良腹直肌旁入路可缩短手术时间、减少术中出血、减轻术后炎症反应，缩短患者恢复时间。更多还原

【Abstract】 Objective To investigate the clinical efficacy of the modified pararectus approach with open reduction and locking plate internal fixation for the treatment of acetabular fractures. Methods A retrospective study was conducted, including the clinical data of 60 patients with acetabular fractures who underwent open reduction and locking plate internal fixation in Dehua County Hospital of Quanzhou from January 2021 to June 2025. Based on the different surgical approaches, patients were divided into control group(30 cases, accepted the modified Stoppa approach) and observation group(30 cases, accepted the modified pararectus approach). Perioperative indicators, hip joint function, and inflammatory markers were compared between the two groups. Results Compared with control group, the observation group had less intraoperative blood loss, shorter incision length, shorter time to expose the fracture site, shorter hospital stay, shorter operative time, and higher postoperative hemoglobin levels(P<0.05). The levels of various inflammatory markers at 3 days postoperatively were higher than preoperatively in both groups, but these levels were lower in observation group compared to control group(P<0.05). There was no statistically significant difference in hip joint function three months after the operation between the two groups(P>0.05). Conclusion Both approaches with open reduction and locking plate internal fixation can effectively improve hip joint function in patients with acetabular fractures. However, the modified pararectus approach can shorten operative time, reduce intraoperative blood loss, alleviate postoperative inflammatory response, and shorten patient recovery time.更多还原